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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SER`JICES <br />3200 CEDAR STREET, EVERETT, WA 93201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADURESS <br />�OC�� Scs Evt��`/I��ll <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNER P���; v� <br />�ODinScn� �-�q;� <br />TENANTNAME <br />Qq/� � /�oW�/? <br />TRACT <br />Szs� <br />PARCEL TAX I.D. # <br />� . _:� : <br />.�._-__� <br />� -�y-o6 <br />Sts ��ir,�P.i` //�jj�l� w� � <br />CONTACT FOR PERMIT <br />CONTRACTOR Q(JQN7SO�'1 /�LLti��ll/�1S ADDRESS <br />CONTR. LICENSE #�Qa pi,� p�� � � L e.Z <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NC�. I 7YPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountaln <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />E�eclric Gas Other <br />,,,^. !': ;' ; <br />� *, <br />, . ,, <br />, . �..,rr:.. �.. <br />� _3 �: <br />�' <br />i ; <br />� =. <br />PHONE <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OF ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ololhes dryer <br />Range hood <br />Exhausifan <br />Heat pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify lhat I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whether specified herein or not. The granling of a permit does not presume <br />lo give authority to violate or cancel lhe provision of any olher state or iocal law regulating conslruction or lhe performance of <br />conslruction. Th I am au� rized by lhe owner of lhis property to perform tlie work (or which applicalion is made and I comply wilh lhe <br />Slate �fac fs Law 1�RCW and 296.200 WAC. <br />